Comparative Study of Radiological Features of Pulmonary Tuberculosis in HIV Infected Patients in Correlation with CD4 Counts
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 12
Abstract
Tuberculosis, an ancient disease, and a major public health problem which is now complicated by relentless spread of HIV & AIDS pandemic and the emergence of multi drug resistant strains.HIV and TB, each disease speeds up the progress of the other. The study was conducted to compare various radiographic presentation of pulmonary tuberculosis in HIV positive patients with CD4 count more than 200 / μL and CD4 count < 200 / μL. 100 HIV positive patients with pulmonary tuberculosis of 20 – 70 years of age (mean age 39.53 ± 10.82) were selected for the study. Their mode of X-ray presentation and CD4 cell counts were studied. X-rays were reported by Radiologist and statistical comparison were analysed using Z test and χ2 test. CD4 count of 35 cases were more than 200 / μL and 65 cases were less than 200 / μL. It was observed that patients with CD4 count > 200 /μL shows higher incidence of upper zone distribution of alveolar, higher incidence of cavity and higher incidence of fibrosis as compared to patients with CD4 count < 200 /μL. Multiple cavities are more often found in patients with CD4 count >200/ μL. Patients with CD4 count < 200 / μL shows higher incidence of mid and lower zone infiltrate, higher incidence of pleural effusion, higher incidence of adenopathy and higher incidence of miliary mottling as compared to patients with CD4 count > 200 / μL.
Authors and Affiliations
Dr T. V. S. R. Raghu
Keywords
Related Articles
- EP ID EP210140
- DOI -
- Views 83
- Downloads 0
Asymptomatic bacteriuria and drug sensitivity patterns during pregnancy in an Indian Teaching Hospital
Background: In pregnant women UTI is a major cause for complications during carrying period. It can be solved by proper antibiotic therapy, but without culture sensitivity reveals multi drug resistance strength in empiri...
Clinical Profile and Aetiology of Nosocomial Pneumonia in a Tertiary Care Centre
Pneumonia is a common medical problem encountered in clinical practice and it is the leading cause of fatal infectious disease worldwide. Pneumonia is diagnosed by the presence of new lung infiltrates in the presence of...
Influence of NK Cells during Epithelial to Mesenchymal Transition in Oral cancer
Oral carcinogenesis is a major health problem in the world. Over 90% of all Oral Cancer is classified as Oral Squamous Cell Carcinoma with loco regional relapse and cervical lymph node metastasis.Considering epithelial m...
Factors Associated with Low Birth Weight Babies Delivered in Comprehensive Health Centre, Gindiri, North Central Nigeria
Introduction Low Birth Weight is one of the most important public health concerns worldwide and is still the leading cause of prenatal and neonatal deaths. Despite the primary health care revolution and its emphasis on M...
A Comparative Study of Rocuronium and Succinylcholine for Rapid Sequence Induction of Anaesthesia
Rocuronium bromide introduced in 1994 was a non depolarizing muscle relaxant which became the first competitor to succinylcholine by producing excellent to good intubating conditions at 60 seconds. It had an intermediate...